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General NPI Number Information
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NPI Number | 1457248056
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Entity Type | Organization
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Legal Business Name | BRIGHTLINE PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 991 E MONTE VISTA AVE STE 2
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City | TURLOCK
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State | CA
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Zip | 95382-0637
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Country | US
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Telephone | 209-353-1877
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 N ST # 12216
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone | 209-353-1877
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONDY YU
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Credential | PHD, LP, LEP, BCBA
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Telephone | 209-353-1877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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